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电刺激左右侧迷走神经对感染性休克大鼠血压肝功能的保护作用

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作者：梁永林 谢守嫔 吴玉泓 刘建鸿 李军 李海龙 王清峰 魏彦明 

【摘要】  　　目的 研究电刺激左右侧迷走神经对感染性休克大鼠肝脏炎性反应的影响。方法 采用盲肠结扎穿孔法(CLP)复制感染性休克模型。40只SPF级健康雄性SD大鼠，随机分为5组，每组8只。①假CLP组；②CLP组；③迷切组；④电刺激左侧迷走神经组；⑤电刺激右侧迷走神经组。刺激方法是分别将左、右侧迷走神经远端连接刺激电极，于CLP术毕即刻持续电刺激(5 V、2 ms和1 Hz) 20 min。各组动物均行颈总动脉置管连续监测平均动脉压，用ELISA法检测肝脏匀浆肿瘤坏死因子α(TNFα)及血清乙酰基转移酶(AST)、丙氨酸氨基转移酶(ALT)的含量。结果 CLP术后平均动脉血压进行性下降，肝脏匀浆TNFα水平含量显著升高(各P<0.01)；与CLP组比较，电刺激左、右侧组动物平均动脉压下降幅度减轻，肝脏匀浆TNFα含量显著降低(各P<0.01)；电刺激左、右侧组无明显差异。结论 电刺激左、右侧组迷走神经能缓解CLP致感染性休克大鼠的进行性血压下降，降低肝脏匀浆TNFα及血清AST、ALT含量，对肝功能有潜在的保护作用；电刺激左、右侧组迷走神经之间肝脏匀浆TNFα及血清AST、ALT含量无明显差异。

【关键词】  迷走神经；电刺激；感染性休克；肿瘤坏死因子

　　【Abstract】  Objective  To study the effect of electrical stimulation of the left and right efferent vagus on liver function of septic shock rats. Methods  SD rats were randomly divided into 5 groups: groupⅠ, performed sham operation; group Ⅱ, performed cecum ligation and puncture (CLP) and a comparable sham surgical procedure in which the vagus nerve were isolated but not transected; group Ⅲ，subjected to bilateral cervical vagotomy following cecal ligation and puncture; grou
p Ⅳ, bilateral cervical vagotomy after cecal ligation and puncture, and the left vagus nerve trunk was placed across bipolar electrodes connected to a stimulation module and controlled by an acquisition system; groupⅤ, bilateral cervical vagotomy after cecal ligation and puncture, and the right vagus nerve trunk was placed across bipolar electrodes connected to a stimulation module and controlled by an acquisiti

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